Blog — Clinical Pathways

Now Available! ICH E6(R3) Comparison Tool. Includes Final Principles, Annex 1, and draft Annex 2. Click here to purchase.

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CTIS Required for New Clinical Trial Applications

01/30/2023

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Beginning January 31, 2023, the Clinical Trials Information System (CTIS) is required for all new clinical trial applications that are applicable to the European Medicines Agency (EMA). The Clinical Trials Regulation (CTR) (Regulation (EU) No 536/2014) entered into application January 31, 2022, which also launched the CTIS.

ICH Q9(R1) Quality Risk Management Guidance Adopted

01/24/2023

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The ICH Q9(R1) international guideline on Quality Risk Management reached step 4 on January 18, 2023. Step 4 is when the International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use (ICH) Regulatory Members of the ICH Assembly have adopted the guideline as a harmonized guideline.

When Does the FDA Perform PAIs?

12/05/2022

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Preapproval facility evaluations are conducted by a CDER integrated quality assessment (IQA) team to evaluate if a PAI is needed from a quality perspective before a NDA can be approved. A risk based approach is used with a focus on facility, product, and process.

Comment Now! Patient Focused Drug Development COA Draft Guidance

07/12/2022

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The US Food and Drug Administration (FDA) released a draft guidance “Patient-Focused Drug Development: Selecting, Developing, or Modifying Fit-for-Purpose Clinical Outcome Assessments” June 2022. The focus of the draft guidance is on selecting, modifying, developing, and validating clinical outcome assessments (COA), such as patient reported outcome (PRO), that are meaningful to patients, with an emphasis on methods to ensure high quality measures are utilized.

Why Did Five Whys Lead Me Here?

3/03/2020

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You may be accustomed to using the Five Whys method for root cause analysis. You ask ‘Why’ five times in an effort to discover the root cause of an issue. If this is your go-to method, you may not realize that there is a different tool available or that Five Whys may be ineffective or outdated. After all, manufacturers of calculators at first had a difficult time convincing consumers of the value of a calculator when they were used to a slide rule. Could you imagine if everyone stuck to what they were comfortable with instead of trying something new?